| NPI | 1659783132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE L PASS Administrator 917-848-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 009057) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-10-08 |